In connection with the armed conflict on the territory of Ukraine, the doctors of the Healthcare Employers' Alliance declared cooperation with local authorities of local self-government: cities, counties and communes dealing with war refugees. In order to improve assistance to Ukrainian citizens in need, PPOZ developed specific rules for the functioning of primary health care facilities, which were informed by Michał Zieliński, the voivode of Wielkopolska, with a request to be handed over to local governments.

What should patients from Ukraine know?

Positions provide free advice to citizens of Ukraine (refugees) from Monday to Friday between 8.00 a.m. and 6.00 p.m. (after prior appointment by phone of the time and purpose of the advice).
Each case of providing assistance to a citizen of Ukraine is recorded on the basis of data from a passport and/or other travel document or from a certificate issued by the Border Guard of the Republic of Poland.
Citizens of Ukraine are provided with medical advice both in the form of teleports and outpatient consultations (in the second case, after prior telephone arrangement and according to the doctor's decision).
Each issued prescription is entered into the system, indicating the NFZ as the payer. The doctor indicates that the recipient of the prescription is a foreigner from Ukraine and enters the number of the document used by the given person (passport, border card, refugee card). Children can have their passport or they can be entered on the mother's passport. If it is possible - a photocopy of the relevant document is attached to the medical documentation. Prescriptions are issued for 100 percent until clarification by the President of the National Health Fund (PPOZ doctors again asked the President of the National Health Fund for an urgent clarification of this issue!).
Vaccinations against COVID-19 are recommended by primary care physicians to all persons from Ukraine over 5 years of age, and interested persons are referred to vaccination centers.
In case of disease or suspicion of infection, direct smear is issued from the system.
In the case of vaccinating children (against other infectious diseases), the Notice of the Ministry of Health of March 8, 2022 on the implementation of preventive vaccinations in children who crossed the borders of the Republic of Poland with Ukraine applies. According to the guidelines:

- People staying in the territory of the Republic of Poland for a period of less than 3 months may voluntarily undergo preventive vaccinations specified in the Protective Vaccination Program as obligatory for citizens of the Republic of Poland, with the use of vaccines provided by sanitary and epidemiological stations at the current rules.
- Neonatal vaccination against tuberculosis and hepatitis B, as well as further vaccinations provided for in the Protective Vaccination Program, are obligatory for children born in the territory of the Republic of Poland.
- Post-exposure vaccinations, which are required to ensure the health and life of the patient (tetanus, rabies), should be performed immediately in accordance with the doctor's decision.
- Vaccinations are documented in the immunization card or in the Vaccination eCard, Vaccination Booklet and medical records.
- The decision on the commencement, continuation or supplementation of the PSO preventive vaccinations for 2022, including the dates of vaccinations, is each time decided by the physician caring for the child, in accordance with an individual vaccination schedule.
- People under 19 years of age staying in the territory of the Republic of Poland for more than 3 months are subject to the obligation to perform preventive vaccinations in accordance with the Protective Vaccination Program.
- Children's preventive vaccinations against COVID-19 are carried out in accordance with the recommendations provided in the announcements of the Minister of Health No. 15, 19, 20 and 21.

8. Primary health care entities were provided with the "Medical interview card" - in Ukrainian-Polish and basic phrases in Ukrainian - these materials are helpful in ongoing contact with patients from Ukraine.

9. Bearing in mind the safety of both staff and patients, including citizens of Ukraine, doctors recall the ongoing pandemic and the obligation to comply with the sanitary regime.

... - We would like to ask you to transfer the above findings to subordinate territorial units (cities, communes, poviats) - the doctors of the Healthcare Employers' Agreement appeal to the Wielkopolska voivode in a letter.

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